ICD10 Guideline for drugs and substances: Difference between revisions

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== Additional Info ==

*When used for a '''[[Primary Admit Diagnosis]]'''

**'''Code the physiologic/lab/etc manifestation that is most responsible for admission''' (e.g. if the overdose or poisoning caused renal failure AND shock, code the shock as [[Primary Admit Diagnosis]] as it's most immediately life threatening), '''NOT the agent or agents themselves as [[Primary Admit Diagnosis]]'''

**'''Code ALL the physiologic/lab/etc manifestations of the overdose or poisoning''' (e.g. renal failure, respiratory failure, shock, etc).

**If the admission is just to '''observe the patient only''' (i.e. perhaps the patient MAY have taken a dangerous drug or substance and does not YET have a physiologic manifestation requiring admission) then '''code [[Primary Admit Diagnosis]] as [[Observation for SUSPECTED overdose]]'''

*Regarding overdoses or poisonings with multiple agents

**Code all the agents known to have been taken

**In the case where some are known but others are suspected then also use [[Drug or biological substance/agent NOS, overdose/toxicity]], and/or [[Substances NOS, poisoning]] for those others suspected

**When there is a multi-agent overdose and none of the agents are clearly known, then just code [[Drug or biological substance/agent NOS, overdose/toxicity]] and/or [[Substances NOS, poisoning]]

* also see [[Illicit drug use]]

{{Discuss |Task

* just realized that [[Illicit drug use]] wasn't mentioned here; we might want better info how it fits into the remaining instructions on this page.

}}

== Coding in ICD10 of Issues Related to Drugs and Substances ==

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*While many of the specific drugs or agents or substances have codes that fall under multiple of the categories (e.g. opioids), there is not perfect symmetry, i.e. there may be an individual code for a given agent in one category, while for another category that agent may instead go into a wastebasket code. Benzodiazepines are one such example.

*~~Distinguishing between:~~ ~~Sedative~~/~~hypnotics, Hallucinogens, and Psychoactive substance NOS~~

== Intravenous Drug Abuse (IVDA) ==

~~{{DA|~~

*There is no specific code in ICD10 for intravenous drug use/abuse (ivda). The codes that DO exist are for the specific agent or type of agent being used/abused --- irrespective of how it enters the body.

* you wrote "--- ~~TINA~~ the ~~following goes~~ in the ~~15 specific~~ pages ~~only." - what do you mean by that? I think this page might have got lost, it might have been addressed otherwise. }}~~

**It’s usually relatively easy to distinguish them, but not always

== Other instructions related to drugs and substances in IC10 ==

**Sedative/hypnotics -- includes benzodiazepines; barbiturates; dilantin and ~~most other antiseizure drugs; tricyclics~~ and ~~most anti-depressants (but not lithium, which is categorized under “Psychiatric drug NOS”~~

Several templates area applied to the relevant pages:

**Hallucinogens -- includes LSD, mescaline, ketamine, cannabis

**Psychoactive or psychiatric substances NOS

See [[:Category:Drug and substance template]]

*** pharmaceuticals: ~~includes lithium, phenothiazines, olanzapine, respiradone (Respirdol), olanzapine (Zyprexa), quetiapine (Seroquel), other antipsychotics, methylphenidate(Ritalin), amphetamines (Adderol)~~

*** street drugs/agents: includes ecstacy (MDMA), nitrous oxide

{{#ask: [[Category:Drug and substance template]]

|format = UL

|limit = 1000

|default = None found

}}

[[Category: ICD10 Coding Guidelines]]

[[Category:ICD10 Coding Guidelines]]

[[Category:Addiction]]

@@ Line 1: / Line 1: @@
 {{ICD10 coding guideline}}
+== Additional Info ==
+*When used for a '''[[Primary Admit Diagnosis]]'''
+**'''Code the physiologic/lab/etc manifestation that is most responsible for admission''' (e.g. if the overdose or poisoning caused renal failure AND shock, code the shock as [[Primary Admit Diagnosis]] as it's most immediately life threatening), '''NOT the agent or agents themselves as [[Primary Admit Diagnosis]]'''
+**'''Code ALL the physiologic/lab/etc manifestations of the overdose or poisoning''' (e.g. renal failure, respiratory failure, shock, etc).
+**If the admission is just to '''observe the patient only''' (i.e. perhaps the patient MAY have taken a dangerous drug or substance and does not YET have a physiologic manifestation requiring admission) then '''code [[Primary Admit Diagnosis]] as [[Observation for SUSPECTED overdose]]'''
+*Regarding overdoses or poisonings with multiple agents
+**Code all the agents known to have been taken
+**In the case where some are known but others are suspected then also use [[Drug or biological substance/agent NOS, overdose/toxicity]], and/or [[Substances NOS, poisoning]] for those others suspected
+**When there is a multi-agent overdose and none of the agents are clearly known, then just code [[Drug or biological substance/agent NOS, overdose/toxicity]] and/or [[Substances NOS, poisoning]]
+* also see [[Illicit drug use]]
+{{Discuss |Task
+* just realized that [[Illicit drug use]] wasn't mentioned here; we might want better info how it fits into the remaining instructions on this page.
+}}
 == Coding in ICD10 of Issues Related to Drugs and Substances ==
@@ Line 12: / Line 26: @@
 *While many of the specific drugs or agents or substances have codes that fall under multiple of the categories (e.g. opioids), there is not perfect symmetry, i.e. there may be an individual code for a given agent in one category, while for another category that agent may instead go into a wastebasket code.  Benzodiazepines are one such example.
-*Distinguishing between:  Sedative/hypnotics, Hallucinogens, and Psychoactive substance NOS
+== Intravenous Drug Abuse (IVDA)  ==
-{{DA|
+*There is no specific code in ICD10 for intravenous drug use/abuse (ivda).  The codes that DO exist are for the specific agent or type of agent being used/abused --- irrespective of how it enters the body.
-* you wrote "--- TINA the following goes in the 15 specific pages only." - what do you mean by that? I think this page might have got lost, it might have been addressed otherwise. }}
-**It’s usually relatively easy to distinguish them, but not always
+== Other instructions related to drugs and substances in IC10 ==
-**Sedative/hypnotics -- includes benzodiazepines; barbiturates; dilantin and most other antiseizure drugs; tricyclics and most anti-depressants (but not lithium, which is categorized under “Psychiatric drug NOS”
+Several templates area applied to the relevant pages:
-**Hallucinogens -- includes LSD, mescaline, ketamine, cannabis
-**Psychoactive or psychiatric substances NOS
+See [[:Category:Drug and substance template]]
-*** pharmaceuticals:  includes lithium, phenothiazines, olanzapine, respiradone (Respirdol), olanzapine (Zyprexa), quetiapine (Seroquel), other antipsychotics, methylphenidate(Ritalin), amphetamines (Adderol)
-*** street drugs/agents: includes ecstacy (MDMA), nitrous oxide
+{{#ask: [[Category:Drug and substance template]]
+|format = UL
+|limit = 1000
+|default =  None found
+}}
-[[Category: ICD10 Coding Guidelines]]
+[[Category:ICD10 Coding Guidelines]]
+[[Category:Addiction]]